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Care Management Program Manager
2 months ago
Position Overview:
We are thrilled to present an opportunity within our esteemed organization. This role is integral to the effective management of our care management program, ensuring optimal patient outcomes and resource utilization.
Key Responsibilities:
This position is tasked with overseeing the daily functions of the care management program, which encompasses various essential components including:
- Care facilitation
- Utilization management
- Discharge planning
- Transitions of care
The incumbent will play a pivotal role in developing and refining systems and processes related to care and utilization management within the healthcare facility. Additionally, this role involves:
- Managing the department's daily activities associated with discharge planning and clinical quality enhancement.
- Evaluating the appropriate and effective use of hospital resources.
- Assisting in the collection, analysis, and reporting of financial and quality metrics pertinent to utilization management.
- Leading and motivating staff to adapt and thrive in a dynamic healthcare environment.
- Promoting interdisciplinary collaboration and fostering a culture of teamwork and service excellence.
Minimum Qualifications:
Education and Licensure:
- Bachelor’s degree in Social Work.
- Licensed Social Worker (LSW) through the relevant board.
Experience:
- A minimum of five years of social work experience, including two years in a supervisory capacity.
Preferred Qualifications:
Education and Licensure:
- Master’s degree.
- Licensed as an LGSW or LCSW.
Experience:
- Familiarity with InterQual and MCG criteria.
Core Duties:
The responsibilities outlined here are intended to provide a general overview of the role. Other duties may be assigned as necessary:
- Overseeing all aspects of care management operations.
- Ensuring the availability of a qualified and cohesive workforce to meet patient care demands.
- Advising on staffing decisions, including hiring and retention.
- Conducting performance evaluations and providing constructive feedback to staff.
- Monitoring the operational budget and assisting in its preparation.
- Facilitating effective communication among medical staff, patients, and other departments.
- Participating in policy development and ensuring compliance.
- Engaging in self-development activities to enhance management skills.
Physical and Working Environment:
The role may require prolonged periods of standing or sitting, with flexible hours including weekends and holidays. Participation in a rotational call schedule may also be necessary.
Skills and Abilities:
- Excellent interpersonal communication and negotiation skills.
- Ability to work effectively with diverse populations.
- Strong team-building and conflict resolution capabilities.
- Knowledge of clinical care practices and payer requirements.
Scheduled Weekly Hours:
40
Exempt Status:
Exempt
Company:
WVU Medicine
